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Zoning
Miscellaneous Additions,Repairs,Alterations,etc. Tel.No. Alterations
G Additions
ti
NORTHAMPTON, MASS. 1961
APPLICATION O PERMIT TO ALTER Repair
Garage
1. Location Lot No.
2. Owner's name Q Address d--
cs
3. Builder's name ddress
Mass.Construction Supervisor's License No. Expiration Date
4. Addition
5. Alteration
6. New Porch
7. Is existing building to be demolished?
8. Repair after the fire
9. Garage No.of cars Size
10. Method of heating
11. Distance to lot lines
c
12. Type of roof Sc
13. Siding house
14. Estimated cost:- ,�j %'r✓
Vc 7 The undersigned certifies t the above sLa ents are true to the best of his, her
knowledge and
Signature olresponsible app,lca
Remarks
L
♦ F r
10. Do any signs exist on the property? YES NO
IF YES,describe size, type and location:
Are there any proposed changes to or additions of signs intended for the property?YES NO
IF YES, describe size,type and location:
11 . ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE DENIED DUE TO
LACK OF INFORMATION.
This column to be filled in
by the Building Department
Required
Existing Proposed By Zoning
Lot size
Frontage
Setbacks - frnnt
- side L: R: L: R:
- rear
Building height
Bldg Square footage
%Open Space:
(Lot area minus bldg
&paved parking)
# of Parking spaces
# of Loading Docks
Fill:
(volume & location)
13 . Certification: I hereby certify that the information c tained h in
is true and accurate to the best of my know led
g
DATE: APPLICANT'
s SIGNATURE
'G
NOTE: n e of a zon' g permit does not relieve an p loanYa burden o
zoning ements and obtain all required Ir1�y
q permits from the Board of He �. Conservation
Commis-"n, Department of Publio Works and other applioable ermit
p granting authorities.
FILE #
A,
MAY 51997
File
ZONING PERMIT APPLICATION (§10 . 2)
PLEASE TYP OR P —I '` ALL INFORMATION
1. Name of Applicant:
Address: �e eep o ne %/, /�J�' �,�
2. Owner of Property: ' y _
Address: �-I eieP
3. Status of Applicant: Owner Contract Purcha Lessee
Other(explain): ( �l�-fZ.M ��
4. Street Address: �( rl' '..0 -�O
Parcel Id: Zoning Map# Q? Parcel# District(s):
(TO BE FILLED IN BY THE BUILDING DEPARTME
5. Existing Use of Structure/Property 4E4 `
6. Description of Pro sed Use/Work/Project/Occupation: (Use additional sheets if necessary):
ell, _ ,1 / 1
7. Attached Plans: Sketch Plan Site Plan Engineered/Surveyed Plans
Answers to the following 2 questions may be obtained by checking with the Building Dept or Planning Department Files.
8. Has a Special PermitNariance/Finding ever been issued for/on the site?
NO DON'T KNOW YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document#
9. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , date issued:
(FORM CONTINUES ON OTHER SIDE)
y FILE # 9 U ? 1
5 199, { � /
APPLICANT/CONTACT PERSON: .� T
{
ADDRESS/PHONE: 86 /
/ly
PROPERTY LOCATION: '�� iL. �,���`��1
MAP L�1 PARCEL: = ZONE
THIS SECTION FOR-OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
Fee Pnid
Rnilding Permit Filled qpt
Type of Constniction-
Remndrlin2 Tnterinr
Arlrlitinn to Existing
Arressnry Strurttire
Ruilrling Plnns Tnrinfied- _
3 Set,� of Plans I Plot Plan
Tp�OLLOWING ACTION HAS BEEN TAKEN ON THIS AP ICATION: .
Approved as presented/based on information presented
Denied as presented:
Special Permit and/or Site Plan Required under: §
PLANNING BOARD ZONING BOARD
Received&Recorded at Registry of Deeds Proof Enclosed
Finding Required under:§ w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Variance Required under: § w/ZONING BOARD OF APPEALS
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval-Bd of Health Well Water Potability-Bd Health
Permit from Conservation Commission
J, -gna e o
Si f B g o Date
NOTE:Issuanoa of at zoning permit does not relieve an applloemt's burden to oompty with all
zoning requirements and obtain ail required permits from the Board of Health, Conservation
Commission, Department of Public works and other applicable permit granting authorttles.
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